It's not the busywork that's the issue, it's the repetitive motion issue. Some things are worth ruining your wrist, some aren't. A lot of people online are at risk for it anyway with all the typing and clicking. The busywork clicking here though...while it's not really an issue earlier, I can easily see by HME having so many buildings to click that it could be a definite addition to the health issue. I know that I'm in EMA in Arvahall and Iron in the other, and already I'm starting to have issues with my wrist being noticeably sorer at the end of the day than it was before I started playing this game.
Checking for activity is fine. Asking players to risk use of their hands for a game is not.
As for the slow reply - sorry, I do not check the forums every day.